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Our team of practitioners and associates are amongst the best subject matter experts in the country and at Niche we work hard to ensure that our clients have the best consultancy available.

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Mary-Ann Bruce

Job title: Partner



Mary-Ann joined Niche Consulting from Mazars where she lead the Health Advisory team. Mary-Ann trained as a registered general and sick children’s nurse in Westminster and Westminster Children’s Hospital, London, and a Health Visitor in the North East. Mary-Ann has over 30 years NHS experience predominantly in the community, mental health and primary care space and associated services. Mary-Ann is best known for her work on Mortality Governance – since the high-profile publication of the Southern Health NHS Trust report she has been working/speaking with over 60 NHS Trusts. This includes speaking widely on governance, Learning from Deaths approaches, thematic reviews of patient safety learning and system wide reviews of deaths to inform joined up learning.  Her publicly available work includes a ground breaking system-wide Structured Judgement Review across Leicestershire. Mary-Ann was also a key member of the CQC Expert Advisory Group for the subsequent CQC report commissioned by the Secretary of State – Learning, Candour and Accountability following her work at Southern Health NHS Foundation Trust.

Extensive experience in audit, advisory and investigations:

  • Multi-agency investigation of patient death in the North East across Mental Health/Learning Disability, Acute and Primary Care
  • Investigation of an inpatient death in London with high profile family engagement in a large Acute hospital
  • Suicide and Homicide investigations for NHS England
  • (Published) System wide clinical quality audit (SJR review) of SHMI cohort across Leicester, Leicestershire and Rutland (University Hospitals Leicester) resulting in system wide impact and change
  • (Published) High profile review of Mental Health and Learning Disability deaths for NHS England at Southern Health NHS Foundation Trust
  • (Published) National review of the rate of NHS-Funded Nursing Care in England for the Department of Health and subsequent work to examine the costs and trends in the use of agency nursing in the care home sector
  • System-wide Independent Investigations following complaints and serious incidents for Acute hospitals, NHS England, CCGs & Mental Health Trusts
  • Safeguarding reviews – Charity, Education and Housing
  • Strategic Review of Supported Living Service for Housing Association
  • Pre-CQC inspection support for care providers in Supported Living Service
  • A feasibility study for Nursing Home demand

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